Return to Work Interview

F-99

Briarcare Limited

Briarcare House, Harp Lane, Cavendish Road, Clare, Suffolk C010 8PH

Tel: 01787 279000 / Fax: 01787 279007

RETURN TO WORK INTERVIEW

A return to work interview is to be carried out by the employee’s manager on EVERY occasion that they return from a period of absence which is NOT: Approved Holiday

Maternity Leave

Paternity Leave

Parental Leave

Name
Job Title
Location
Date commenced absence
Date returned to work
Return to work interview conducted by Manager
On……………………. (must be the first day of employee’s return to work)
Reasons for absence
Advice given by manager to employee and/or action taken
HR Department informed? YES/NO
The HR Department must be informed if any follow up action is required, e.g. in the form of a letter of caution to the employee with regard to their actions, or if formal disciplinary action is necessary.
Signature………………………………
Date:…………………….

This document is to be placed in the employee’s personnel file

Issue No.1 Rev No.0 Issue Date 01.06.2005 Authorised By KS Page 1 of 1